Résumé
Objective To investigate the therapeutic effect and the improvement of sleep quality in applying Hypnotic Suggestion with combination of traditional Chinese culture,Guqin music,for patients with primary insomnia in Hong Kong area.Methods According to the characteristics of speaking language in Hong Kong,Cantonese Hypnotic Suggestion combined with Guqin background music was induced to the patients as the psychological treatment.87 cases of compliance (DSM-Ⅳ) diagnostic criteria for primary insomnia and screened successfully into 3 groups to enter an 8-week intervention in random.Therapeutic effects were assessed on the 0th,4th and 8th at clinics to evaluate efficacy and safety.Patients were assigned in random into the hypnotic suggestion group,the hypnotic suggestion with Guqin music group and the control group for listening of intervention respectively.Athens insomnia scale (AIS),Self-reporting Inventory (SCL-90) and Heart Rate Variability (HRV) were used as the therapeutic indexes.Safety evaluation included change in vital signs,and medical examination before and after treatment.Results Hypnotic suggestion group had lower AIS scores,AIS total (8.70± 4.50),(7.20± 4.40) and the hypnotic suggestion with Guqin music group had lower AIS scores,AIS total (7.30±3.30),(6.80±2.60) were also significantly lowered than the c ontrol group [AIS total (10.30±5.10),(9.80± 5.00) after four-week and eight-week intervention (P＜ 0.05).The hypnotic suggestion group,indicated a decline in terror of SCL-90 scores,SCL-90 total (-0.20±0.60),(0.00±0.60) and the hypnotic suggestion with Guqin music group also indicated a decline in terror of SCL-90 scores,SCL-90 total (-0.20±0.50),(-0.20±0.50) when comparing to the control group,SCL-90 total (0.00±0.20),(0.10±0.30).After four-week and eight-week intervention (P＜0.05).Percentage Very Low Frequency (VLFper),Percentage High Frequency (HFper) and LF/HF indicated an improvement on average (P＜0.05).Conclusion Hypnotic suggestion and combination of hypnotic suggestion with Guqin music in the treatment of primary insomnia,both improve the patient's symptoms such as insomnia and alleviate their terrorpsychological disorders,and can help some insomnia to stop using sleeping pills.